Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,277.19 / $1,277.19 / $1,277.19	Professional		$1,277.19	$1,277.19	$1,277.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $967.10 / $967.10 / $967.10	Facility		$967.10	$967.10	$967.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.98 / $967.10 / $996.11	Professional		$705.98	$967.10	$996.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $451.45 / $451.45 / $451.45	Facility		$451.45	$451.45	$451.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,385.59 / $1,385.59 / $2,187.78	Professional		$1,385.59	$1,385.59	$2,187.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,277.14 / $1,277.14 / $1,424.34	Facility		$1,277.14	$1,277.14	$1,424.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.04 / $1,424.34 / $2,937.25	Professional		$1,154.04	$1,424.34	$2,937.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $451.45 / $451.45 / $967.10	Facility		$451.45	$451.45	$967.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $967.10 / $1,212.74 / $1,804.73	Professional		$967.10	$1,212.74	$1,804.73
United Facility/Professional Professional Modifier Low / Median / High Price $704.94 / $727.64 / $1,394.65	Professional		$704.94	$727.64	$1,394.65